Provider Demographics
NPI:1114345154
Name:LEWIS-CUFF, BREHONDA (LPC)
Entity Type:Individual
Prefix:
First Name:BREHONDA
Middle Name:
Last Name:LEWIS-CUFF
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14007 RIVERDOWNS NORTH PL
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-3965
Mailing Address - Country:US
Mailing Address - Phone:804-397-6109
Mailing Address - Fax:
Practice Address - Street 1:14007 RIVERDOWNS NORTH PL
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-3965
Practice Address - Country:US
Practice Address - Phone:804-397-6109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-05
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005787101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional